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Michigan rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $53.80 / $233.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.47 / $7.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.00 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.73 / $1.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $17.34 / $204.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.79 / $2.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.02